| Robert David Hodson, DO | |
|
220 Bannock St, Malad City, ID 83252-1256 | |
| (208) 766-2600 | |
| Not Available |
| Full Name | Robert David Hodson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 220 Bannock St, Malad City, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265482905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-1077 (Idaho) | Primary |
| 207Q00000X | Family Medicine | O-0380 (Idaho) | Secondary |
| Entity Name | Integritas Emergency Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
| Entity Name | Granite City Hospitalist Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669926424 PECOS PAC ID: 8527356591 Enrollment ID: O20161006000282 |
| Entity Name | Statera Health Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert David Hodson, DO 150 N 200 W, Malad City, ID 83252-1239 Ph: (208) 766-2231 | Robert David Hodson, DO 220 Bannock St, Malad City, ID 83252-1256 Ph: (208) 766-2600 |
Dr. Layne S Barnes, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 220 Bannock St, Malad City, ID 83252 Phone: 208-766-2231 |
Dr. James William Pickett, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 220 Bannock St, Malad City, ID 83252 Phone: 208-766-2600 Fax: 208-766-4258 |
William Brad Speakman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 Bannock St, Malad City, ID 83252 Phone: 208-766-2600 Fax: 208-766-4258 |